Correlation between the levels of urea serum, creatinine, and haemoglobin with fatigue in patient with Chronic Kidney Disease at Haemodialisa Unit, dr. R. Goeteng Taroenadibrata General Hospital Purbalingga
Abstrak
Background : Chronic kidney disease is a progressive destruction of renal structure and continuously. Fatigue is one of the few complaints that often felt by patients with chronic kidney disease. Prevalence of fatigue in patients with chronic kidney disease is high. Patients with chronic kidney disease characterized by elevated levels of serum urea, creatinine, and decreased levels of haemoglobin.
Objective : To determine correlation between the levels of serum urea, creatinine, and haemoglobin with fatigue in patients with chronic kidney disease at Haemodialisa Unit, dr. R. Goeteng Taroenadibrata General Hospital Purbalingga.
Method : This research using observational analytic design with cross sectional study conducted in dr. R. Goeteng Taroenadibrata General Hospital Purbalingga. The samples used were 30 patients with total sampling technique. The research instrument used secondary data from laboratory test result and questioner with interview.
Result : Characteristics of respondents for the ages at most between 50-57 years that was 33,00%. For gender, male sex more than female, male 17 respondents female 13 respondents. And private sector workers had the highest number with 11 respondents (36,67% ). Mean of the serum urea levels as much as 158,09; creatinine levels 12,00; haemoglobin levels 8,19; and the fatigue’s score 29,90. The result of this study, there was no correlation between the serum urea levels with fatigue (p = 0,928 ; ? = 0,05), there was no correlation between creatinine with fatigue ( p = 0,863 ; ? = 0,05 ), and there was significant correlation between haemoglobin with fatigue with negative moderate correlation between the variables (p = 0,021 ; ? = 0,05; r = -0,419).
Conclusion : The lower haemoglobin levels the increase fatigue scores.
Referensi
DAFTAR PUSTAKA
Chadijah, S., dan Wirawanni, Y., 2011, Perbedaan status gizi, ureum dan kreatinin pada pasien gagal ginjal kronik, http://ejournal.undip.ac.id/index.php/actanutrica/article/view/490, diakses tanggal 3 November 2016
Corwin, E.J., 2009, Patofisiologi: buku saku, Jakarta , EGC
Dahlan, M.S., 2014, Statistik untuk kedokteran dan kesehatan, edisi 6, Epidemiologi Indonesia, Jakarta
Fahmi, 2013, Hubungan kadar hemoglobin dengan kreatinin pada pasien dengan obstruksi batu ureter bilateral http://lib.ui.ac.id/naskahringkas/2016-04/S-PDF-Fahmi%20Radityamurti, diakses pada tanggal 2 November 2016
Fajar, K.A., 2017, Hello Sehat, Lima perilaku tidak sehat yang dipicu oleh stress. Diakses pada tanggal 10 Februari 2017 pukul 01:04 WIB dari https://hellosehat.com/5-perilaku-tidak-sehat-yang-dipicu-oleh-stress/
Jhamb, M., Weisbord, S.D., Steel, J.L., & Unruh, M., 2008, Fatigue in patients receiving maintenance dialysis: A review of definitions, measure and contributing factors, American Journal Of Kidney Diseases, 52 (2)
Guyton, A.C., 2012, Fisiologi manusia dan mekanisme penyakit, Edisi 3, EGC, Jakarta
Kartika, U., 2013, Rajin pantau tensi turut sehatkan ginjal,
http://health.kompas.com/read/2013/03/06, diakses pada tanggal 2 November 2016
Kao, Y., Huang, Y., Chen, P., Wang, K., 2012, The effects of exercise education intervention on the exercise behaviour, depression, and fatigue status of chronic kidney disease patients. Health Education Vol 112 no 6, 2012 page 472-485. DOI 10.1108/09654281211275827.
Kusno, S., 2013, Occupational safety and health, Tugas ergonomi (fatigue), https://santykusno.wordpress.com/2013/03/28/tugas-ergonomi-fatigue/, diakses pada tanggal 21 Februari 2017 jam 23:10 WIB.
Lukbin, L.L & Larsen, P.D., 2007, Cronic illness impact and interventions. 6th edition, Jhon.
Ma’shumah, N., Bintanah, S. & Handarsari, E. 2014, 'Hubungan Asupan Protein Dengan Kadar Ureum, Kreatinin, dan Kadar Hemoglobin Darah pada Penderita Gagal Ginjal Kronik Hemodialisa Rawat Jalan Di RS Tugurejo Semarang', Jurnal Gizi, vol. 3, no. 1.
Nurarif, A.H., Kusuma, H., 2013, Nanda Nic-Noc, jilid 2, media action, 166-171
Nurmianto, E., 2003, Ergonomi Konsep Dasar Dan Aplikasinya, Surabaya: Guna Widya. Prawirohartono, Dkk. 1999. Sains Biologi-2A untuk SMU Kelas 2.
Notoatmodjo, S., 2012, Metode penelitian kesehatan, Rineka Cipta, 100-130
O´Callaghan, C. A.,2009, At a Glance Sistem Ginjal, Erlangga, Jakarta
Rekam Medik di RSUD dr.R. Goeteng Taroenadibrata Purbalingga, 2014 & 2015
Robinson, JM., 2013, Profesional guide to desease, Tent Edition, Philadelphin, Lippincot William & Walkins
Sudoyo, A.W., 2007, Ilmu Penyakit Dalam, Jilid 1, Edisi IV, Pusat Penerbitan Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia, Jakarta
Sulaiman, 2015, Hubungan lamanya hemodialisa dengan fatigue pada pasien gagal ginjal di RS PKU Muhammadiyah Yogyakarta, http://opac.unisayogya.ac.id/237/1/NASKAH%20PUBLIKASI.pdf, diakses tanggal 2 November 2016
Sulistini, 2010, Faktor-faktor yang mempengaruhi fatigue pada pasien yang menjalani hemodialisis, jurnal keperawatan indonesia http://jki.ui.ac.id/index.php/jki/article/view/30/, diakses pada tanggal 3 November 2016
Sullivan, D. & McCarthy, G., 2009, Exploring the symptom of fatigue in patients with end stage renal disease. Neprhology Nursing Journal. 36, 38-40.
.png)
